Hoekstra, Erin2020-01-102020-01-102019-06https://hdl.handle.net/11299/211332University of Minnesota Ph.D. dissertation. June 2019. Major: Sociology. Advisors: Teresa Gowan, Lisa Sun-Hee Park. 1 computer file (PDF); vii, 254 pages.Bridging critical health and migration studies, this dissertation examines the health effects of racialized processes of immigrant criminalization, focusing on the organizations that provide medical care in an informal, often underground, health system. Governed by a "biopolitics of disposability" (Giroux 2006), immigrant ineligibility for health care contributes to undocumented migrants' experience as distinctly vulnerable, exploitable, and ultimately disposable. Whereas health institutions are usually figured as solutions to the violence embodied in unequal health outcomes, this dissertation argues that spaces of health are also perpetrators of structural violence. Clinics operate as de facto border checkpoints, leaving migrant patients susceptible to deportation for accessing emergency medical services. In the face of the violence of the mainstream health system, a network of humanitarian organizations provide health care to uninsured, undocumented migrants, while resisting the collusion between health and immigration enforcement. In contrast to medical humanitarianism's focus on constructions of migrant "deservingness," this dissertation argues that the concept of biocitizenship, a medicalized belonging based on common humanity, transcends dichotomies of deserving and undeserving, "good" or "bad" migrants. Biocitizenship also critiques the disentitlement and dehumanization of a biopolitics of disposability. Drawing from twelve months of ethnographic fieldwork with free clinics and humanitarian organizations across Arizona, this dissertation examines immigrant health justice (IHJ) organizations' use of humanitarianism as both a discursive strategy and a field of action. In the borderlands, IHJ organizations frame their politically-contentious work as apolitical medical care and fight for the recognition of the patient status of migrants in need of emergency first aid. In the interior, the IHJ turns its critique toward "health" itself. Employing a rights-based humanitarian discourse, activists castigate the for-profit health system as complicit with immigration enforcement, indicting it for mass structural violence. Centrally, this dissertation argues that these related but distinct discourses across the borderlands and interior amount to an insurgent humanitarianism that exposes the fatal consequences of immigrant criminalization. By claiming various biocitizenships on behalf of their patients, IHJ organizations and activists use medicalized language as the basis of a politics of visibility, highlighting the health needs and fatalities of migrants across the country.enHealthImmigrationMedical SociologyMigrationSocial MovementsThesis or Dissertation